怀疑急性尾炎的儿童用超声波进行腹部查
Robert Dima1,2, Sanya Duggal3, Korrie Johnston3
1McMaster Children's Hospital, Hamilton, ON, Canada. robertdima@hotmail.com.
综合性腹部超声波查显著增加了怀疑急性尾炎的儿童紧急腹部病理的检测. 这种方法有助于识别除尾炎之外的疾病,提高诊断准确性和患者护理.
科学领域:
- 儿科放射学 儿科放射学
- 腹部成像 腹部成像 腹部成像
- 诊断性超声波 超声波 超声波 超声波
背景情况:
- 超声波 (US) 是诊断儿童急性尾炎 (AA) 的主要成像方法.
- 在患有AA症状的儿科患者中,替代性诊断很常见.
- 美国扩大整个腹部和骨盆的查正在考虑改善诊断产量.
研究的目的:
- 评估综合性腹部和骨盆US查是否能提高儿童腹部病理的检测率,这些儿童有暗示AA的症状.
- 通过使用历史数据,优化美国对患有腹痛的儿科患者的扫描协议.
主要方法:
- 对202名怀疑患有AA的儿童进行了回顾性分析,这些儿童在第三级护理医院接受了全面的腹部美国查.
- 美国的研究结果由三个儿科放射科医生对临床意义进行了审查和分级.
- 一个单一的比例测试比较了综合查和集中附录评估之间的临床重要发现的检测率.
主要成果:
- 在202名儿童 (p <0.01) 中,有30名 (15%) 发现了临床相关和紧急的偶然发现.
- 最常见的重大发现包括卵巢囊,结肠炎和复杂的液体收集.
- 优化建模表明,检查卵巢,腹膜/介质体和肠道的诊断产量最高.
结论:
- 美国综合查显著提高了对AA评估的儿科患者临床相关腹部病理的检测.
- 针对这些患者的优化美国方案应至少包括对卵巢,腹膜/介质体以及大肠和小肠的评估.
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